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Organization
NORTHLAND HOSPICE & PALLIATIVE CARE
Active
Organization
NORTHLAND HOSPICE & PALLIATIVE CARE
Active
Parent organization
NORTHLAND HOSPICE & PALLIATIVE CARE
Other names
Olivia White Hospice HOme
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND HOSPICE & PALLIATIVE CARE
Authorized official
MRS. CHARLENE TAYLOR (CHIEF FINANCIAL OFFICER)
(928) 779-1227
Entity
Organization
Contact information
Practice address
752 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4835
(928) 226-1915
(928) 226-1923
Mailing address
PO BOX 997, FLAGSTAFF, AZ 86002-0997
(928) 779-1227
(928) 779-5884
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
ALH-4018
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110495
—
AZ
05
—
726185
—
AZ
Enumeration date
07/22/2008
Last updated
07/22/2008
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